Provider Demographics
NPI:1730945007
Name:GUIDING STAR PSYCHOTHERAPY
Entity type:Organization
Organization Name:GUIDING STAR PSYCHOTHERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:VALERIE
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:MCNAMARA
Authorized Official - Suffix:
Authorized Official - Credentials:LMSW
Authorized Official - Phone:906-450-0698
Mailing Address - Street 1:844 WESTFALL AVE
Mailing Address - Street 2:
Mailing Address - City:KALAMAZOO
Mailing Address - State:MI
Mailing Address - Zip Code:49006-5542
Mailing Address - Country:US
Mailing Address - Phone:906-450-0698
Mailing Address - Fax:
Practice Address - Street 1:844 WESTFALL AVE
Practice Address - Street 2:
Practice Address - City:KALAMAZOO
Practice Address - State:MI
Practice Address - Zip Code:49006-5542
Practice Address - Country:US
Practice Address - Phone:906-450-0698
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-26
Last Update Date:2024-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health